Provider Demographics
NPI:1750980587
Name:JOSEPH DANIELS, DO
Entity type:Organization
Organization Name:JOSEPH DANIELS, DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-731-9400
Mailing Address - Street 1:4441 BRYANT IRVIN RD N
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7338
Mailing Address - Country:US
Mailing Address - Phone:817-731-9400
Mailing Address - Fax:
Practice Address - Street 1:4441 BRYANT IRVIN RD N
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7338
Practice Address - Country:US
Practice Address - Phone:817-731-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty